LULADAY W TEBEJE ACNP
NPI 1790025658
Nurse Practitioner - Acute Care in Detroit, MI
Active since February 28, 2013
About Luladay W Tebeje Acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LULADAY W TEBEJE ACNP (NPI 1790025658) is an individual acute care provider in Detroit, Michigan, licensed in Michigan (4704258722) and active in the NPI registry since February 2013.
NPPES Registry Identity
NPI1790025658
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLULADAY W TEBEJECredential: ACNP
Location Address261 MACK AVEDetroit, MI 48201-2417
Mailing Address19144 Red Oak LnBrownstown, MI 48193-8802 · (248) 508-8047
Phone(313) 745-7235
Sole ProprietorYes
Enumeration DateFebruary 28, 2013
✔ NPI 1790025658 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704258722
261 MACK AVE, Detroit, MI 48201
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Specialist/Technologist (Athletic Trainer)
261 MACK AVE
DETROIT, MI 48201
DETROIT, MI 48201
Rehabilitation Hospital
261 MACK AVE
DETROIT, MI 48201
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
261 MACK AVE
DETROIT, MI 48201
DETROIT, MI 48201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790025658, enumerated as an "individual" on February 28, 2013.
The provider is located at 261 MACK AVE DETROIT, MI 48201 and the phone number is (313) 745-7235.
Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.
